Clinical Study of Foreign Bodies in the Air Passage

Chung, Yoon Young; Oh, Cheon Hwan

doi:10.35420/jcohns.1990.1.2.110

J Clin Otolaryngol Head Neck Surg 1990; 1(2):110-116

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.1990.1.2.110

원저

기도 이물에 관한 임상적 고찰

정윤영¹, 오천환¹

Clinical Study of Foreign Bodies in the Air Passage

Yoon Young Chung¹, Cheon Hwan Oh¹

Author Information & Copyright ▼

¹순천향대학교 의과대학 천안병원 이비인후과학교실

¹Department of Otolaryngology, Chunan Hospital,College of Medicine, Soonchunhyang University

© Copyright 1990 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

Aspiration of a foreign body in the airway is a common pediatric accident and is usually accompanied by respiratory distress and life-threatening problem. Early diagnosis and removal of foreign body in the airway is imperative to prevent most serious complications but is difficult due to the difference in the nature, location, type and configuration of foreign bodies.

The authors have experienced 17 cases of foreign bodies in the airway at the Department of Otolaryngology, Chunan Hospital, College of Medicine, Soonchunhyang University from July 1982 to December 1989.

The results were as follows;

The most common age was from 2 to 5 years old in 9 cases. The incidence of sex is higher in male than in female.
In duration of lodgement, there was most frequent within 1 day in 7 cases(41.2%) and the longest duration was 16 days.
The most common main symptom，sign and auscultation finding were dyspnea 10 cases (58.8%), chest retraction 5 cases(29.4%) and decreased breath sound 10 cases(58.8%).
In chest X-ray finding, 7 cases were abnormal and most common finding was pneumonia.
Types of foreign bodies were vegetables 6 cases(37.6%), mucous plug and plastics in order.
In location, there were right main bronchus 6 cases(37.5%)，trachea 5 cases(31.3%)， larynx 3 cases(18.8%) and left main bronchus 2 cases(l2.5%)
Foreign body induced complications were developed in 6 cases(37.5%); pneumonia 5 cases and pneumomediastinum 1 case, and all of postoperative complication was penumonia 5 cases(31.3%).
Foreign bodies were removed with direct laryngoscopy 3 case, rigid bronchoscopy 6 cases and ventilating bronchoscopy 7 cases.